Individual
JULIUS A GASSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
701 N STATE OF FRANKLIN RD, STE 2, JOHNSON CITY, TN 37604-3645
(423) 926-4468
(423) 928-4838
Mailing address
701 N STATE OF FRANKLIN RD, STE 2, JOHNSON CITY, TN 37604-3645
(423) 926-4468
(423) 928-4838
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
54676
TN
207RC0000X
Cardiovascular Disease Physician
ME0050712
FL
207RI0011X
Interventional Cardiology Physician
Primary
54676
TN
207RI0011X
Interventional Cardiology Physician
ME50712
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04672
BLUE CROSS BLUE SHIELD NU
FL
05
—
062487000
—
FL
Enumeration date
07/07/2006
Last updated
04/04/2017
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